Individual
LUPITA MARTINEZ ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 285-3656
Mailing address
238 RUE DE YOE, MODESTO, CA 95354-1313
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
24006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24006
RCB
CA
Enumeration date
03/14/2019
Last updated
03/14/2019
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